State Plan Amendment (SPA) 23-0004 is being submitted to add reimbursement for emergency ambulances for the initial twenty-five (25) miles at a rate of $.01 per mile, effective February 1, 2023. For more information, read the proposed SPA pages. Posted byKelly Shannon March 9, 2023 0 Share: Related Articles CHIP SPA 18-0010 Health Services Initiatives approved by CMS Public Notice for SPA 22-0008 Independent Lab and X-ray Services SPA 18-0002 Physician UPL submitted to CMS MS SPA 21-0041 Preventive Services approved by CMS How to Complete Your Renewal Online Synagis update – March 2023